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JEFFREY W MERLING M.D.
NPI 1366434391
Family Medicine in Cincinnati, OH

Active since August 16, 2005PECOS EnrolledAccepts Medicare Assignment
11029 MONTGOMERY RD, CINCINNATI, OH 45249(513) 891-2211(513) 891-2218 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Aug 24, 2017 (3 updates tracked since 2017).

About Jeffrey W Merling M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEFFREY W MERLING M.D. (NPI 1366434391) is an individual family medicine provider in Cincinnati, Ohio, licensed in Ohio (35080438M) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, maintains a secondary practice location in Cincinnati, and is a graduate of Wright State University Boonshoft School Of Medicine (1999).

NPPES Registry Identity

NPI1366434391
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJEFFREY W MERLINGCredential: M.D.
Location Address11029 MONTGOMERY RDCincinnati, OH 45249-2306
Mailing Address11029 Montgomery RdCincinnati, OH 45249-2306 · (513) 891-2211 · Fax (513) 891-2218
Phone(513) 891-2211
Fax(513) 891-2218
Sole ProprietorNo
Medical School CMSWright State University Boonshoft School Of MedicineGraduated 1999
Enumeration DateAugust 16, 2005
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
✔ NPI 1366434391 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OH · 35080438M
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedFamily Medicine · Addiction MedicineTaxonomy 207QA0401X · License 35.080438 (OH)
11029 MONTGOMERY RD, Cincinnati, OH 45249
Open in Google Maps ↗

Secondary Practice Location 1

Location 1446 Morgan StCincinnati, OH 45206-2348 · Phone (513) 834-7063 · Fax (513) 873-1567

Other Identifiers 1

Medicaid2461492OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jeffrey W Merling M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3779522214
PECOS Enrollment IDI20050426000046
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

6

Medicare enrollment records show Jeffrey Merling reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lindner Center Of Hope Professional Associates
5.1 mi
Psychologist
4075 OLD WESTERN ROW RD
Mason, OH 45040
  • Reassigned Medicare billing, Ohio enrollment
  • 90 clinicians in this Medicare group
NPI 1124425020 (513) 536-4673
The Craig And Frances Lindner Center Of Hope
5.1 mi
Psychiatric Hospital
4075 OLD WESTERN ROW RD
Mason, OH 45040
  • Reassigned Medicare billing, Ohio enrollment
  • 88 clinicians in this Medicare group
NPI 1023207750 (513) 536-4673
Ch Specialty Services Oh LLC
13 mi
Internal Medicine
3239 JEFFERSON AVE STE 1
Cincinnati, OH 45220
  • Reassigned Medicare billing, Ohio enrollment
  • 107 clinicians in this Medicare group
NPI 1326747734 (337) 408-0797
Curana Health Of Ohio
13 mi
Internal Medicine
3239 JEFFERSON AVE STE 1PMB1015
Cincinnati, OH 45220
  • Reassigned Medicare billing, Ohio enrollment
  • 109 clinicians in this Medicare group
NPI 1760114961 (337) 408-0797
Trihealth G LLC
13 mi
Internal Medicine
379 DIXMYTH AVE
Cincinnati, OH 45220
  • Reassigned Medicare billing, Ohio enrollment
  • 1,126 clinicians in this Medicare group
NPI 1295862944 (513) 246-7000
Preferred Physician Services Of Ohio LLC
95 mi
Internal Medicine
9200 WORTHINGTON RD STE 300
Westerville, OH 43082
  • Reassigned Medicare billing, Ohio enrollment
  • 119 clinicians in this Medicare group
NPI 1538899638 (337) 991-9276

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45249 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers13 claims28 services$4.68 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANNE VAZ
Nurse Practitioner (Family)
11029 MONTGOMERY RD
CINCINNATI, OH 45249
Hamilton County (513) 891-2211
CASEY STRONG GALLAGHER MD
Family Medicine
11029 MONTGOMERY RD
CINCINNATI, OH 45249
Hamilton County (513) 891-2211
SUBHRA JYOTI JANA DO
Family Medicine
11029 MONTGOMERY RD
CINCINNATI, OH 45249
Hamilton County (513) 891-2211
DOUGLAS C MOODY M.D.
Family Medicine
11029 MONTGOMERY RD
CINCINNATI, OH 45249
Hamilton County (513) 891-2211
ANNE JENNINGS
Nurse Practitioner (Family)
11029 MONTGOMERY RD
CINCINNATI, OH 45249
Hamilton County (513) 891-2211
JOYCE RAO PANGANAMALA PA
Physician Assistant
11029 MONTGOMERY RD
CINCINNATI, OH 45249
Hamilton County (513) 891-2211
THOMAS W GRIMM M.D.
Family Medicine
11029 MONTGOMERY RD
CINCINNATI, OH 45249
Hamilton County (513) 891-2211
TRIHEALTH PHYSICIAN PRACTICES, LLC
Family Medicine
11029 MONTGOMERY RD
CINCINNATI, OH 45249
Hamilton County (513) 891-2211

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeffrey Merling's NPI number?

The NPI number for Jeffrey Merling is 1366434391. It was assigned to this individual provider in the NPPES registry on August 16, 2005.

Where is Jeffrey Merling located?

Jeffrey Merling practices at 11029 Montgomery Rd, Cincinnati, OH 45249. The listed phone number is (513) 891-2211.

What is Jeffrey Merling's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jeffrey Merling enrolled in Medicare?

Yes. Jeffrey Merling is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Jeffrey Merling's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeffrey Merling reassigns Medicare benefits to 6 organizations: Lindner Center Of Hope Professional Associates (Mason, OH), The Craig And Frances Lindner Center Of Hope (Mason, OH), Ch Specialty Services Oh LLC (Cincinnati, OH), Curana Health Of Ohio (Cincinnati, OH), Trihealth G LLC (Cincinnati, OH) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jeffrey Merling's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jeffrey Merling accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 3 other insurers list Jeffrey Merling as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jeffrey Merling was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.